| NPI | 1932345048 |
|---|---|
| Doing Business As | MEDIC SHOP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSANN MILLEN Owner 985-875-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006069-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2017-03-24 |